Which antihypertensive best suits a Male patient 40 yrs non alcoholic non smoker but diabetic



Beta blockers are relatively contraindicated because they are sympathetic blockers and can cause hypoglycemia unawareness. They can also increase lipids. Amlodipine can cause tachycardia and edema legs, causing confusion with diabetic nephropathy . ACEI are suited , but can cause cough . ARB s like losartan telmisartan are best suited for diabetics since they are lipid friendly and nephro protective. Because of vasodilator property, ARBs reduce after load and so can be considered cardio protective.

Thank you,Doctor

In diabetic patient with hypertension , prevention of macro vascular and microvascular risk should priority,ARBs and ACEI both reduces this risk.

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